Physician Compare National (NPI:1609807478)

HEALTHCARE PROVIDER: DIMOSTHENIS COSTANTINOS DAFNIS MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1609807478
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8123114360
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071018000527
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DAFNIS
	Individual professional last name
Provider First Name	DIMOSTHENIS
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	409 W MAUMEE ST
	Group Practice or individual's line 1 address
City	ANGOLA
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	467031428
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2606656842
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	230022
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	COMMUNITY HEALTH CENTER OF BRANCH COUNTY
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	230037
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HILLSDALE HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	151315
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CAMERON MEMORIAL COMMUNITY HOSPITAL INC
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y